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1053043091
PHILLIP SUMARDI
DALLAS, TX
NPI
1053043091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-28
Last Update Date
2026-03-26
Business Address
PHILLIP SUMARDI
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-5518
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Mailing Address
PHILLIP SUMARDI
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-5518
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